High waters along the creeks and the Sulphur River often halted travel in the early years.

The southeastern portion is served by the Chapel Hill Independent School District.

[11] Northeast Texas Community College is also located in Mount Pleasant, near the Chapel Hill school district.

A major project underway to build a 271 loop bypass around Mount Pleasant was completed in 2015.

The City of Mount Pleasant is served by Titus Regional Medical Center.

The United States Postal Service operates the Mount Pleasant Post Office.